Healthcare Provider Details

I. General information

NPI: 1821201237
Provider Name (Legal Business Name): HARVEY FRANKLIN BROWN III D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 GEORGIA AVE
LITTLE ROCK AR
72207-5014
US

IV. Provider business mailing address

2001 GEORGIA AVE
LITTLE ROCK AR
72207-5014
US

V. Phone/Fax

Practice location:
  • Phone: 501-664-3668
  • Fax:
Mailing address:
  • Phone: 501-664-3668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number70
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: